Form 01-142 - Texas Off-Road, Heavy Duty Diesel Equipment Surcharge Return

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AB CD
*0114200W021708*
01-142
b.
PRINT FORM
RESET FORM
(Rev.2-17/8)
Texas Off-Road, Heavy-Duty Diesel
b
Equipment Surcharge Return
under Chapters 552 and 559, Government
You have certain rights
Code, to review, request and correct information we have on file about
50100
Do not write in shaded areas.
you. Contact us at the address or phone number listed on this form.
a. T Code
I
b
c. Taxpayer number
d. Filing period
f. Due date
e.
b
b
1.
h.
Blacken this box if your mailing address has
g. Name and mailing address (Make any necessary name or address changes below.)
changed. Show changes by preprinted information.
b
2.
Blacken this box if you are no longer in business,
and enter the date you went out of business below.
b
Month
Day
Year
j.
i.
b
b
Enter amounts for all off-road, heavy-duty diesel equipment with 50 horsepower or more.
I
before July 1, 2003
For sales, rentals and leases entered into
SECTION I -
.00
1. Sales, rentals and leases -
1.
Enter total amount, not including the surcharge or sales tax
b
.00
2. Taxable amount -
2.
Enter total sales made LESS any deductions
b
3. Surcharge due for sales, rentals and leases for this period -
3.
Multiply Item 2 by 1.0% (.010)
b
on or after July 1, 2003 and before Sept. 1, 2015
For sales, rentals and leases entered into
SECTION II -
.00
4. Sales, rentals and leases -
4.
Enter total amount, not including the surcharge or sales tax
b
.00
5. Taxable amount -
Enter total sales made LESS any deductions
5.
b
6. Surcharge due for sales, rentals and leases for this period -
6.
Multiply Item 5 by 2.0% (.020)
b
on or after July 1, 2003 and before Sept. 1, 2015
For equipment brought into Texas for use
SECTION III -
.00
7. Use surcharge -
7.
Enter the amount subject to use surcharge
b
8. Surcharge due for use during this period -
8.
Multiply Item 7 by 2.0% (.020)
b
on or after Sept. 1, 2015
For sales, rentals and leases entered into
SECTION IV -
.00
9. Sales, rentals and leases -
9.
Enter total amount, not including the surcharge or sales tax
b
.00
10. Taxable amount -
10.
Enter total sales made LESS any deductions
b
11. Surcharge due for sales, rentals and leases during this period -
11.
Multiply Item 10 by 1.5% (.015)
b
on or after Sept. 1, 2015
For equipment brought into Texas for use
SECTION V -
.00
12. Use surcharge -
12.
Enter the amount subject to use surcharge
b
13. Surcharge due for use during this period -
13.
Multiply Item 12 by 1.5% (.015)
b
14. Amount due
14.
(Sum of Items 3, 6, 8, 11 and 13)
b
15. Timely discount -
If you are filing your return and paying the surcharge on or before the due date, multiply Item 14 by .005.
15.
16. Prior payments -
If you requested that a prior payment and/or an overpayment be applied
16.
to this specific period, the amount, as of the date of this return, is preprinted in Item 16.
17. Net surcharge due
17.
(Subtract Items 15 and 16 from Item 14.)
01-142 (Rev.2-17/8)
18. Penalty due -
If report is filed or surcharge is paid after the due date, enter penalty. (If 1-30 days late, enter
5% of the amount in Item 17. If more than 30 days late, enter 10% of the amount in Item 17. Minimum penalty $1.)
18.
NOTE: An additional $50 late filing penalty will be assessed each time a return is filed after the due date.
19. Interest due
- If any surcharge is unpaid 61 days after the due date, enter interest on the amount
in Item 17. Calculate interest at the rate published online at
19.
or call 1-877-447-2834, for the applicable interest rate.
20. TOTAL AMOUNT DUE AND PAYABLE
20.
(Sum of Items 17, 18 and 19.)
b
Taxpayer name
k.
l.
b
AB
T Code
Taxpayer number
Period
b
b
b
I declare that the information in this document and any attachments is true and correct
50020
to the best of my knowledge and belief.
Taxpayer or duly authorized agent
Make the amount in Item 20
Mail to COMPTROLLER OF PUBLIC ACCOUNTS
payable to
P.O. Box 149361
Daytime phone
Date
STATE COMPTROLLER
Austin, TX 78714-9361
If you have any questions regarding the Off-Road, Heavy-Duty Diesel
111 A
Equipment Surcharge, call 1-800-252-5555 .
Details are also available online at .

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